8th Evidence-Based Practice on the Frontline: Building a Culture of

8th Evidence-Based Practice on the Frontline:
Building a Culture of Quality, Safety and Nursing Professionalism
April 15-16, 2015 • Columbia, MO
April 15
Evening Pre-Conference
“Getting Your Project Published”
MU Sinclair School of Nursing, Rm. S342
April 16
Full Day Regular Conference
Hilton Garden Inn, Columbia
Keynote Address
Making a Difference for Patient Care:
EBP and Translation Science
General Session
EBP: Myths and Realities of Implementation
Featured Speaker
Marita G. Titler, PhD, RN, FAAN, Rhetaugh Dumas
Endowed Chair, Department Chair Health Systems
and Effectiveness Science, University of Michigan School
and UM Health Sciences, Ann Arbor
CALL FOR POSTER ABSTRACTS
We invite you to share
your EBP projects through a poster
Abstract Preparation and Submission:
• Electronic Submission only.
• Guidelines and forms for submission are posted at:
http://nursingoutreach.missouri.edu/evidence15abstracts.aspx
Deadline for Abstract Submission: March 4, 2015
Notification of Acceptance: March 18, 2015
Questions? Call 573-882-0215
or e-mail: nursingoutreach@missouri.edu
Sponsored by
Nursing Outreach: Where continuing education
and continuing competency meet
Pre-Conference • Wednesday, April 15, 2015 • 5:15-8:30pm
Getting Your Project Published
Sinclair School of Nursing, Rm. S342, University of Missouri
(Parking is in MU Healthcare Visitors Garage –Directions will be sent
with your receipt of registration and posted at the conference website:
http://nursingoutreach.missouri.edu)
Bring your PICOT question, poster abstract or journal idea
and learn how to start writing for publication. The Pre-con faculty
will be on hand to assist you with suggestions if you are having
difficulty narrowing your question or moving
to the next step toward a publishable manuscript.
Objectives:
1. Discuss general strategies for writing for publication and choosing
the right journal.
2. Begin the process of writing for publication by identifying a
potential topic and a plan to move toward a publishable
manuscript.
3. Discuss essential steps in revising and resubmitting manuscripts.
2.25 Contact Hours
Agenda
5:15
Check-in with Shakespeare’s Famous Pizza
and beverages
5:50 Opening Remarks – Shirley J. Farrah, PhD, RN-BC,
Assistant Dean, Nursing Outreach and Associate Teaching Professor, MU Sinclair School of Nursing, Columbia
Getting Your Project Published • 6:00 - 8:30pm
6:00
Getting Started - Bonnie Wakefield, PhD, RN, FAAN,
Associate Research Professor, MU Sinclair School of Nursing
Why publish? How-to’s regarding refining your topic,
choosing the right journal, following publisher guidelines,
common pitfalls and setting yourself up for success.
7:00Break
7:15
Writing for Publication as a Novice: Been There, Done
That and What I Learned - Sarah Muegge, MSN, RN, Instructor, Regional Services, CoxHealth, Springfield
Sarah will discuss her own experience as a first time writer. She will help participants apply considerations of who, what, when, where, why and how to assist in writing an article for publication.
8:00
After Submission – Dr. Wakefield
How to revise and resubmit, dealing with journal decisions to not publish papers.
8:30 Adjourn
Pre-Conference • Wednesday, April 15, 2015
Faculty:
Bonnie J Wakefield, PhD, RN, FAAN is Associate Research
Professor at the Sinclair School of Nursing and Investigator at the
Center for Access & Delivery Research and Evaluation at the Iowa City
Veteran’s Affairs (VA) Healthcare System. Her main research focus
is design and evaluation of e-health communication technologies
to improve access and quality care for chronically ill veterans. She
is also the Clinical Coordinator of the VA eHealth QUERI, which is
implementing and evaluating uptake of eHealth in the VA system. Dr.
Wakefield has published in a number of peer reviewed journals
Sarah Muegge, MSN, RN, Instructor, Regional Services, CoxHealth,
Springfield, MO.
Sarah delights in beginning her 16th year as an instructor for the
Ambulatory Clinics of CoxHealth. She has the privilege of working
with and learning from the staff of more than 70, mostly in primary
care clinics located throughout Southwest Missouri. Several years into
her current position, topics of immunization delivery became a special
interest to her. This led to graduate school where she discovered
EBP. Approaching issues with an EBP perspective is her passion.
Among other professional organizations, Sarah is a member of the
American Academy of Ambulatory Nurses (AAACN). In 2012 she
received the AAACN writers award and now serves on the manuscript
review panel for the association’s journal ViewPoint. Sarah is excited to
share her love of nursing and EBP.
Full Day Conference • Thursday April 16, 2015
Featured Speaker
Dr. Marita G. Titler, PhD, RN, FAAN serves
as Professor and Planning Committee Chair,
Department of Systems Leadership and Effectiveness
Science, Rhetaugh G. Dumas Endowed Chair
Department of Systems Leadership and Effectiveness
Science at the University of Michigan, Ann Arbor.
Dr. Titler’s research has focused in translation and
implementation science and outcomes effectiveness
research targeting older adults. She has received federal and foundation
funding for her research, serves on NIH and AHRQ study sections, and
has published numerous clinical and research articles on evidence-based
practice and translation science.
Dr. Titler has also designed, implemented and evaluated an evidencebased practice course targeting frontline nurses and an advanced
practice institute for nursing professionals responsible for leading the
application of evidence-based practice in care delivery. These short
courses have been taught both nationally and internationally.
Mark you calendar now
for next year’s conference:
April 13-14, 2016 • Columbia, MO
You can learn and have fun doing it!
When asked how they planned to apply what they
learned, last year’s participants said:
• I want to foster and promote a spirit of inquiry among all staff.
• Bring back evidence-based articles to staff meetings and add
journal clubs with the intent to change nursing practice for the
better.
• Will develop PICO questions for practices that are annoying,
redundant in our department… are they necessary practices?
• Develop an EBP mentor program.
• Looking at increasing the number of infuser pain pumps for
surgical patients. Will collect data before implementation,
educate physicians, collect data again.
Planning Committee
Valerie Bader, MSN, RN, CNM, Instructor of Nursing, MU Sinclair
School of Nursing
Michele Baird, RN, CCM, Care Coordinator, General Medicine and
Urology Care, University of Missouri Health Care
Jaime Basnett, MS(N), APRN, CIC, Nurse Practitioner, Mizzou Quick
Care, University of Missouri Health Care
Karen R. Cox, PhD, RN, Manager, Quality Improvement, University of
Missouri Health Care
Debra Deeken, MSN, RN, NE-BC, OCN, Director Nursing/Patient Care
Services – Ambulatory Care, University of Missouri Health Care
Shirley Farrah, PhD, RN-BC, Assistant Dean, Nursing Outreach and
Associate Teaching Professor, MU Sinclair School of Nursing
Kathleen Fitzgerald, BSN, JD, RN, Informatics Nurse, Harry S. Truman
Memorial Veterans’ Hospital
Anne M. Hackman, MPA, BSN, RN, NE-BC, Senior Director,
Performance Management and Insights, Prophecy Healthcare
Anne Heine, MS(N), RN, Instructor of Nursing, MU Sinclair School of
Nursing
Jessica Johnson, RN, OCN, Education Nurse, Oncology Medical Surgical
Unit, Ellis Fischel Cancer Center, University of Missouri Health Care
Linda Makarewicz, BSN, RN, Staff Nurse 5-P, Intensive Care Nursery,
Boone Hospital Center, Columbia
Denice Mendenhall, MN, RN, Instructor of Nursing, MU Sinclair School
of Nursing
Sarah Muegge, MSN, RN, Instructor, Regional Services, CoxHealth,
Springfield
Patty Oerly, RN, House Manager, Women and Children’s Hospital,
University of Missouri Health Care
Sharon Ann Sessions, BSN, RN, CRNI, University of Missouri Health
Care
Amanda Spikard, RN, Instructor, Regional Services, CoxHealth,
Springfield
Cynthia S. Stephens, MS(N), RN, Clinical Instructor, Nurse Planner,
MU Sinclair School of Nursing, Nursing Outreach
LuAnn Tandy, PhD, RN, Compliance Partner, Ensign Group
Bonnie Wakefield, PhD, RN, FAAN, Associate Research Professor, MU
Sinclair School of Nursing
Full Day Regular Conference • Thursday, April 16, 2015 • 8:15am - 4:30pm
8th Evidence-Based Practice on the Frontline:
Building a Culture of Quality, Safety and Nursing Professionalism
Hilton Garden Inn, Columbia
Purpose and Target Audience
In its 8th year, this educational program is developed by nurses for
nurses, primarily front line nurses who actually provide the care,
regardless of setting. The focus is not on doing research, but rather
on how staff nurses can develop, access and use the latest evidence to
guide their everyday practice. Specific skill-building sessions as well
as exemplar projects from nurses who have implemented successful
EBP projects in their workplaces are integrated throughout the day.
APRNs, managers and educators who want to ensure quality outcomes
through best practices also report benefit from participation.
10:30
EBP: Myths and Realities of Implementation - Dr. Titler
This session will provide an overview of models of implementation for use by clinicians. Implementation strategies to
foster knowledge uptake and use in practice settings will be
described.
Objectives:
5. Describe models of implementation.
6. Identify the myths and realities of promoting knowledge
uptake at the point of care delivery. 7. Apply implementation strategies to improve practice. Objectives
1. Discuss strategies to create and sustain a culture of evidence-based
practice (EBP) in your work setting.
2. Describe how staff nurses from various settings identified clinical
questions, studied the evidence, determined the need for practicechange based on the evidence, implemented the desired practice
and disseminated the results.
3. Discuss implementation strategies to move evidence into practice
to improve care.
4. Explore the crucial role of the frontline nurse and nursing
administration in integrating EBP into professional practice and
decision-making.
11:45
Hosted Luncheon
12:30
Poster Session (abstract presenters to be with posters) 30 minutes of CE credit awarded for poster session
Objective:
8. Describe how the processes involved or the findings
from at least one EBP project might be useful in your
EBP journey.
1:00
Tackling the AIM: Asking the Question, Implementing the Evidence, Measuring the Results - Laura L. Kuensting, DNP, APRN, PCNS-BC, CPNP, CPEN, Assistant Teaching Professor/Coordinator, Pediatric Nurse Practitioner Program, MU Sinclair School of Nursing
This presentation will review the importance of asking the
right question when entering the domain of clinical inquiry
(versus scientific inquiry), why evidence has been difficult to
implement into practice, and how to overcome this barrier
utilizing a systematic approach. In addition, the difference
between scientific research, accountability research, and
quality improvement will be discussed. Finally, the importance of the PDSA cycle when measuring for improvement to
address the clinical question will be explored.
Objectives:
9. List at least three benefits from asking the right question.
10. Identify at least two essential components when
implementing an evidence-based practice or policy.
11. Distinguish between quality improvement, accountability, and scientific research.
12. Define the components of the Plan-Do-Study-Act
(PDSA) cycle and describe their importance when
measuring for improvement.
2:00 Change Sessions
2:05
CONCURRENT SESSIONS
A. EBP and the Magnet® Journey – Laura Noren, MBA,
BSN, RN, NE-BC, Director of Women’s and Children’s
Services, Boone Hospital Center, Columbia
Hear from a Magnet® Program Director, who led an area
hospital to three consecutive Magnet® designations,
discuss the evolution of evidence-based practice (EBP)
7:30
Check-in with Continental Breakfast
Visit Exhibits and Posters
8:15
Welcome and Introductions – Shirley J. Farrah, PhD, RN-BC, Assistant Dean, Nursing Outreach and Associate
Teaching Professor, MU Sinclair School of Nursing, Columbia
8:30
10:00
Making a Difference for Patient Care: EBP and Translation
Science– Marita Titler, PhD, RN, FAAN,
Professor and Chair, Department of Systems Leadership and
Effectiveness Science, Rhetaugh G. Dumas Endowed Chair,
University of Michigan School of Nursing, Ann Arbor
This presentation will include an overview of the meaning of
terms used in EBP and translation science. Examples of EBP
and Translation Science will be provided as exemplars. Objectives: 1. Compare and contrast definitions of EBP, QI, conduct of
research, and translation science.
2. Discuss the importance of EBP to improve patient outcomes with examples.
3. Describe interdisciplinary research in translation science
with examples.
4. Identify lessons learned with EBP and translation science.
Beverage Break – Visit Exhibitors & Posters
over a decade. The organization successfully used
outcome data to demonstrate nursing excellence for
Magnet® designation. Learn about the newest standards
and tips for successfully meeting the Magnet®
expectations. The content is appropriate for hospitals
formally on the Magnet® journey and those who just
want to strengthen their EBP culture.
Objectives:
13. Describe how EBP is an integral part of the Magnet®
Recognition Program.
14. List examples of EBP requirements for hospitals
who are on the Magnet® journey.
15. Identify tips on how to foster a culture of EBP.
B. Tips for Working with the IRB – Michele Kennett, JD,
MSN, LLN, Assistant Vice Chancellor for Research &
Director of Human Research Protections, University of
Missouri
This session will focus on interaction with the
Institutional Review Board (IRB) and when you need to
submit your proposal to the IRB. We will discuss what
constitutes research that must be submitted to the IRB,
what doesn’t need to be submitted and why. At the end
of the session participants will be able to understand and
articulate the differences between Quality Improvement
(QI), research and Evidence-Based Practice (EBP).
Objectives:
16. Identify when IRB submission is required.
17. Describe the IRB process for study approval.
18. Discuss the differences between QI, Research and
EBP.
3:05
Dessert Break
3:20 Moving EBP from the Project to Practice (General Session)
Learn from two nurse educators about designing a researchbased education project to improve patient outcomes, foster
implementation with the frontline nurses and ways to
overcome barriers to practice change.
Injections 101 – Sarah Muegge, MSN, RN, Instructor, Regional Services, CoxHealth, Springfield
This presentation will overview published evidence regarding
correct injection practices. Topics of site selection and
preparation, needle selection, velocity of injection and
aspiration maneuver will be included. The audience can
compare EBP concepts to what has been acceptable practice
for many years.
Objectives:
19. Recognize components of the injection procedures that
are likely “ritual based” rather than based on evidence.
20. Describe how evidence-based practice can contribute to
more effective, more efficient and safer patient care.
Implementation of Bedside Report – Nancy Schuenemeyer,
RN, Boone Hospital Center, Columbia
The evidence demonstrates that there are more pros than
cons for promoting a bedside report format for transferring patient care from one healthcare provider to another.
However, not all nurses are open to this change in practice.
Learn how one healthcare organization made the switch and
worked to change beliefs and behaviors.
Objectives
21. Review the pros and cons of bedside report vs. other
methods of transferring patient care.
22. Describe the methods used by one healthcare
organization to implement this form of end-of-shift
report.
23. Discuss barriers encountered along with creative
methods to overcome.
4:30Adjourn
Accreditation
General Information
University of Missouri Sinclair School of Nursing is an approved
provider of continuing nursing education by the Midwest
Multistate Division, an accredited approver by the American Nurses
Credentialing Center’s Commission on Accreditation.
Midwest Multistate Division Provider Approval Number 716-VII.
• Up to 2.25 contact hours will be awarded for the
Pre-Conference sessions on April 15.
• Up to 6.41 contact hours will be awarded for the regular
conference on April 16.
Location and Directions
• April 15, 2015 for Pre-con: Sinclair School of Nursing, Rm. S342,
MU Campus
• April 16, 2015 for Regular conference: Hilton Garden Inn
Directions to Sinclair School of Nursing will be sent to
pre-conference registrants.
Directions and driving/flight/shuttle information is posted on
conference website: http://www.nursingoutreach.missouri.edu/
mapHilton.aspx.
Lodging
Hilton Garden Inn, 3300 Vandiver Drive, Columbia, MO 65202
A block of rooms has been reserved on the night of April 15, 2015
at the special rate of $109.00 until March 16th at the Hilton Garden
Inn. After this date, rooms will be on a space available basis only. To
make reservations, please call 573-814-5464. Be sure to ask for the MU
SCHOOL OF NURSING EBP room block. Participants are responsible
for making their own reservations and guaranteeing reservations with
a credit card. A map may be found on http://www.nursingoutreach.
missouri.edu/mapHilton.aspx/.
Reminder:
A conference syllabus will not be provided. A
link to the handouts will be e-mailed to each paid registrant
approximately one week prior to the conference.
We ask all speakers to submit handouts. If there are no handouts
posted, that means the speaker did not submit them by the due date.
If we receive handouts after the due date, they will be posted as we get
them. Some speakers bring handouts on the day of the event.
Handouts will remain up 1 month after the event.